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North Carolina rates for HCPCS E2389

Power wheelchair accessory, foam caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.52 / $22.56 / $22.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.67 / $21.16 / $21.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $21.16 / $37.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.89 / $22.56 / $27.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.73 / $28.73 / $28.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.58 / $16.46 / $29.93
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $153.85 / $153.85